WHO consolidated guidelines on tuberculosis. Module 1 : Prevention - infection prevention and control / World Health Organization.

Format:

Book

Author/Creator:

World Health Organization, author, issuing body.

Language:

English

Subjects (All):

Tuberculosis, Pulmonary--prevention & control.

Tuberculosis, Pulmonary.

Physical Description:

1 online resource (1 PDF file (xvi, 38 pages)) : illustrations

Edition:

1st ed.

Place of Publication:

Geneva : World Health Organization, 2022.

Summary:

One of the targets of the Sustainable Development Goals (SDGs) for the period 2015-2030 is to end the global TB epidemic. In line with this target, the WHO End TB Strategy, approved by the World Health Assembly in 2014, calls for a 90% reduction in TB deaths and an 80% decrease in the TB incidence rate by 2030. The strategy emphasizes the need for prevention across all approaches, including infection prevention and control (IPC) in health care services and other settings where the risk of Mycobacterium tuberculosis transmission is high. IPC practices are vital to reduce the risk of M. tuberculosis transmission, by reducing the concentration of infectious droplet nuclei in the air and the exposure of susceptible individuals to such aerosols. Initial WHO recommendations on TB IPC focused primarily on decreasing the risk of transmission in health care facilities in resource-limited settings.17,18 These initial recommendations were then expanded in 2009 to provide further guidance on the use of specific measures for health care facilities, congregate settings and households. After the 2009 guidelines had been in effect for almost 10 years, the need for an update was anticipated, to provide a revised evidence assessment, reinforcing earlier recommendations and linking to core components of effective IPC programmes overall. The present updated guidelines also stress the importance of implementing IPC measures in a systematic and objective way that prioritizes consideration of the hierarchy of IPC controls.

Contents:

Acknowledgements

List of abbreviations

Definitions

How to use these guidelines

Executive summary

1. Introduction

Scope of the guidelines

Objective

Target audience

Summary of changes in the evidence-based recommendations between the 2009 and 2019 guidelines

2. Recommendations

Evidence summary and rationale

2.1. Administrative controls

2.2. Environmental controls

2.3. Respiratory protection

3. Core components of IPC programmes

4. Research priorities

Triage

Respiratory isolation

Rapid diagnosis and initiation of effective treatment

Respiratory hygiene

Upper-room GUV systems

Ventilation systems

Respiratory protection programmes

References

Web Annex A. Methods and expert panels

Web Annex B. GRADE evidence summary tables

Web Annex C. GRADE evidence-to-decision tables

Web Annex D. Systematic reviews

Systematic review for evidence of administrative infection control interventions to reduce TB transmission and three related background questions

Systematic Review of the Evidence regarding TB Infection Prevention and Control strategies in Clinical and Programmatic Settings.

Notes:

Description based on publisher supplied metadata and other sources.